Corrective osteotomies after injuries of the distal radial physis in children.
Six children had corrective osteotomies of the distal forearm because of growth disturbance from post-traumatic closure of the distal radial physis. Lengthening osteotomy of the radius was performed in three patients with grafts from the iliac crest. All osteotomies healed in a satisfactory position. Three patients had only moderate mal-angulation of the radius and were treated by shortening of the ulna. The median postoperative palmar angulation of the distal radius was 4 (0-13) degrees, the radial inclination 22 (15-28) degrees, and the ulnar variance was -2 (-4(-)+2) mm. The postoperative pain relief was complete in all patients and the total range of motion was 96 (93-100)% compared with the opposite side.
Hove
L M
LM
Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway.
Engesaeter
L B
LB
D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D011884:Radius / Q000601:surgery*; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular